Exam 2: Female Flashcards
MC condition regarding vulva
Inflammation
Vulvitis can be due to ___, a form of eczema
Allergic contact dermatitis
Vulvitis can also be due to infections, which include
HPV HSV2 N gonorrhea C albicans Syphilis
Candyloma acuminatum due to what infections
HPV6
HPV11
Obstruction/ dilation of Bartholin gland
Bartholin cyst
Bartholin cysts develop ___ and can result in ___ if infected
Quickly
Bartholin abscess
No cancer risk and develops following chronic irritation
Lichen simplex chronicus
MC in ages 8-60 (bimodal) and 5% chance of developing SCC
Lichen Sclerosus
Smooth, white, near labia Minora
Lichen sclerosus
Wart-like structure
Condyloma
Condylomata acuminata
HPV 6 and 11
Condylomata lata
Secondary syphilis
90% SCC, lymphatic Mets, >60 yo describes
Valvular carcinoma
HPV related SCC
HPV 16 and 18
Valvular intraepithelial neoplasia
Middle Aged, smoker, immunodeficiency
Non HPV related SCC
Older women
Lichen Sclerosus
MC valvular carcinoma
Non HPV related SCC
Leukorrhea, pain, itching all describe
Vaginitis
MC cancers that Mets to vagina
Colorectal
Cervical
Primary vaginal cancer
SCC
Vaginal SCC MC in ___ and involves ___
Elderly
Vaginal intraepithelial neoplasia (VAIN)
Rare vaginal cancer observed in daughters whose mothers took DES
Clear cell adenocarcinoma
Rare vaginal cancer with polyploid mass, observed in young girls
Form of rhabdomyosarcoma
Sarcoma botryoides
MC benign and can cause leukorrhea, bleeding, fever, pain
Cervicitis
Infections that can cause cervicitis
Chlamydia (MC) Trichomoniasis Candidiasis Gonorrhea Herpes HPV
Non-infectious cervicitis
Acute = postpartum
Chronic = reproductive aged women
Chronic non-infectious cervicitis is due to
Fluctuating estrogen levels
High risk HPVs for cervical cancer
HPV 16 and 18
Most HPV infections are transient and involve
Cervical intraepithelial neoplasia (CIN)
CIN koilocytosis characteristics
Anaplasia
Enlarged nuclei
Irregular borders
Darker staining
CIN MC age age
30
Low grade (CIN1) care plan
Observation
60% regress
10% progress
High grade (CIN 2 and 3) care plan
Excision
30% regress
10% cancer
Acetic acid test is used for
Cervix cancer diagnosis
All invasive carcinoma of cervix come from
HPV infection
MC invasive carcinoma of cervix
SCC (75%)
Adenocarcinoma 20%
Carcinoid 5%
Invasive carcinoma of cervix MC diagnosed age
45
Cervical cancer MC in women who
Lack screening
MC cause of death in cervical cancer patients
Renal failure
10% of cervical cancer Mets if size is
> 3mm
Pelvic Inflammatory Disease caused by
Gonorrhea
Chlamydia
TB
Endometritis can be caused by __ or __
PID
Retained products
Retained products that can cause endometritis
Conception
Abortion
IUD
Extrauterine endometrium
Endometriosis
Endometriosis freq
10% reproductive aged women
1/2 of all female infertility due to
Endometriosis
Endometriosis symptoms
Dysmenorrhea Dysuria Pelvic pain Painful BMs Painful intercourse
Locations for endometriosis
Ovaries Peritoneum Pouch of Douglas Uterine ligaments Fallopian tubes
“Chocolate cyst” a sign of
Endometriosis
3 theories of endometriosis
Regurgitation
Metaplasia
Benign Mets (vascular or lymphatic)
Menorrhagia
Profuse/prolonged menstruation
Metrorrhagia
Irregular, between periods
Spotting
Anovulatory cycle
Inadequate luteal phase
Retained endometrium
Extremes of reproductive life
Overgrowth of endometrial cells due to high estrogen or failed ovulation
Endometrial hyperplasia
3-50% transform into carcinoma
Endometrial cancer
MC female genital tract cancer
Endometrial carcinoma
Endometrial carcinoma affects ages ___
55-65